What Medicare Part D Covers
What does Medicare Part D cover?
- Anti-cancer medications
- HIV/AIDS drugs
What drugs doesn’t Part D cover?
- Any weight loss or weight gain drugs
- Fertility medication
- Over-the-counter medication
- Erectile dysfunction medication
- Cosmetic drugs
Formularies can change at any time
It is important to realize that drugs can come and go from the formularies at any time. However, the insurance company must let you know when any changes are coming.
All plans are restricted from making changes to the drugs provided and making price changes between the beginning of the annual election period until 60 days after coverage begins. The only exception is if the FDA determines a drug is unsafe or the manufacturer ceases production of the drug.
Also, any changes must include the name of the drugs removed, if the drug changes tires, the reason for the change, alternate drugs available, any cost sharing, and exceptions available.